Patient Forms

We realize that your time is valuable, and we work hard to ensure that your dental visit is efficient and streamlined. To help you save time at your appointment, we welcome you to complete our patient forms before your visit with Dr. Boettcher, your dentist in North Platte, Nebraska. If you have any questions, please feel free to call our dental office. We are always happy to assist you.

New Patient Form (Adult)
New Patient Form (Teen)
New Patient Form (Child)

Financial Options

Dr. Boettcher and his friendly dental team are committed to providing you with convenient financial options that help you and your family afford comprehensive dental care. We accept most dental insurance plans. We also accept the following forms of payment:

  • Cash
  • Checks
  • Credit cards
  • CareCredit

CareCredit provides no- and low-interest payment plans. Our office also offers a 10% discount for patients who pay with cash or check. For more information on any of our financial options, we welcome you to call our dental office in North Platte, Nebraska. We look forward to speaking with you soon!